| NPI | 1457964025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADE ANGELA GARR Owner 888-913-7872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2025-03-20 |